Periodontitis and periodontal disease what’s the difference: features and differences

Periodontitis and periodontal disease – what’s the difference between these diseases? How are they similar? These issues concern in many cases, but not all are able to understand the intricacies of the pathological process. Meanwhile, these diseases differ in almost everything, from causes to clinical manifestations and treatment. To get the answer for the question posed in the title of the article, it is necessary to consider each disease on items.


The main difference between periodontitis from periodontal disease is in their nature. Periodontitis – a disease of an inflammatory nature. Its cause is the ingress of pathogenic or conditionally pathogenic microflora in the wound in the mucous membrane of the gums. Typically, periodontal disease occurs in the form of a restricted process, capturing one or more teeth.
Periodontal disease – a degenerative process that has nothing to do with infectious and inflammatory diseases. The causes of pathology was not significantly clear. It is believed that the disease occurs in patients with:

  • Diabetes;
  • Immunodeficiency;
  • Vascular pathology;
  • A malocclusion;
  • Bad habits;
  • Autoimmune reactions.

Speaking about the causes of Periodontal disease, we can not exclude a genetic predisposition to the disease.


Periodontitis occurs relatively briefly. The illness is rarely more than 2-3 weeks. Of course, in the absence of proper treatment, the inflammatory process can develop for a long time, turning into a generalized form and capturing new areas of the mucosa. However, this happens rarely. Patients experiencing significant discomfort, quickly seek medical help.
Periodontal disease, often asymptomatic and not cause the patient significant discomfort, often remains unnoticed for a long time. The process can take decades, leading to complete loss of teeth. The latter often happens with the ineffectiveness of the treatment.


When talking about the difference between the periodontitis and periodontal disease, not to say a few words about the symptoms of diseases. Periodontitis manifests itself in the form of the following symptoms:


  • Itching in the gums;
  • Bad breath;
  • Pain when chewing food;
  • The presence of periodontal pockets;
  • Purulent discharge;
  • General toxic syndrome.
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Periodontal disease will differ in the fact that such pronounced symptoms of the disease will not occur. The disease can be detected by such characteristics as:


  • Pallor of the gums;
  • Exposure of the tooth neck;
  • Tooth sensitivity in the neck;
  • No signs of suppurative inflammation;
  • Plaque.

In some cases symptoms of purulent infection may be present in Periodontitis. It occurs in secondary infection of the gums.

The position of teeth

Another feature of Periodontal disease are severe defects of dentition. Due to the softening of the periodontium and the structures that hold the teeth, shifting teeth, increased spacing, crack. With Periodontitis, such phenomenon is not observed.

The gaps between the teeth increases as the progression of the disease. In the initial stages of the disease considered diagnostic symptom does not occur. His appearance occurs after 2-3 years of continuous course of the disease.


Forecasts with Periodontitis and Periodontitis various. Periodontitis, an inflammatory process and having well-known causes, respond well to treatment. In properly selected antibiotic therapy, and proper local influence symptoms subside by the end of the first week of treatment. In the future, the disease goes completely without leaving a significant impact.

Periodontal disease, a disease of the trophic nature, much more difficult to treat. To talk about the results of the latest it is possible not earlier than in a month after treatment of the patient for medical care. By this time, the doctor can mark the beginning of the recovery process. However, the full treatment takes much more time and does not always end successfully. Moreover, Periodontal disease has tendency to recurrence, which cannot be said of Periodontitis.

The frequency of diagnosis

Periodontitis is a common disease which in varying degrees, is present in 90% of the adult population. This is due to a lack of clear understanding about oral hygiene, awareness of the need for regular preventive examinations at the dentist, the seasonal decline of immune protection in the autumn-spring period.

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Periodontal disease occurs no more than 2% of the total number of applicants for the dental care. This feature of the disease is associated with its non-bacterial nature. Periodontal disease is often diagnosed at the stage of tooth loss, which significantly complicates further treatment.

Conservative treatment

The mainstay of treatment of periodontal disease is antibiotic therapy. Patients prescribers with a broad spectrum of activity and is able to penetrate into the interior of the bone (lincomycin). Elimination of pathogenic microflora is usually in itself leads to the subsidence of the inflammatory process and the gradual recovery of the affected gum tissue.

As a means of local treatment of Periodontitis can be used for antibacterial and wound-healing ointment (metrogyl, solkoseril, levomekol). Drugs for topical application is applied on the gums, fixing them from washing off with gauze swab. To apply the ointment should be 2-3 times a day. The course of treatment is 10-15 days.

The difference in the treatment of Periodontitis and Periodontal disease is that the latter requires an integrated approach. Patient is prescribed a therapy that promotes the restoration of blood flow in the vessels of the mucous membrane of the mouth, desensitizing therapy, hormones, restorative drugs, multivitamin complexes. Topically applied healing ointments, rinses, lotions. Widely used traditional recipes treat (rinse decoction of chamomile field, oak bark).

The Foundation of Periodontal treatment is the elimination of precipitating factors. The patient undergoes a full clinical examination, the results of which the correction of the somatic state. Improve blood supply to the gums is by massaging the affected areas.

Surgical treatment

Differs from Periodontal disease Periodontitis and technique of surgical treatment. In fact, surgical treatment of inflammatory process is required rarely, in advanced forms of the disease. After calming down the process patients use to reconstruct the lost teeth, conduct dental health. In the presence of pus in the periodontal pockets may need their rapid purification.

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Periodontal disease requires more extensive intervention. Patients with massive lesion of the gums is required plastic, the restoration of lost teeth and gum tissue. In some cases, as well as failure of the patient from the operation, instead of prosthetics can be used dentures.



Prevention of Periodontal disease and Periodontitis also varies. The inflammatory process prevent through events such as:

  • Meticulous oral hygiene;
  • Timely treatment of caries and other dental diseases;
  • Regular visits to the dentist;
  • Treatment of wounds in the oral cavity;
  • Processing of chipping of the teeth, which can injure the mucosa.

Specific prevention of Periodontal disease does not exist. To prevent disease should regularly undergo preventive examinations of key professionals (physician, surgeon, dentist, endocrinologist). In addition, it is necessary to observe all activities relating to the prevention of Periodontitis.

Another method of prevention as Periodontal disease and Periodontitis is a vitamin. The fact that the degree of saturation of vitamins directly affect the degree of immune protection. Hypovitaminosis often develop in spring and early summer, when the diet of almost disappear completely of fresh fruits and vegetables. During this period, with the preventive purpose it is recommended to take multivitamin complexes. Of course, this must be done in accordance with the specified in the instructions for use dosages. Excess vitamins are not less dangerous than the lack of them.